(1.成都市疾病预防控制中心,四川 成都 610041;2.温江区疾病预防控制中心,四川 温江 611130)
何志凡 女 副主任医师 研究方向为营养与食品卫生 E-mail:bendi78@163.com 李晓辉 女 主任医师 研究方向为营养与食品卫生 E-mail:lxhqj1@163.com
(1.Chengdu Center for Disease Control and Prevention, Sichuan Chengdu 610041,China;2.Wenjiang Center for Disease Control and Prevention, Sichuan Wenjiang 611130,China)
目的 对2019年成都市发生的一起毒蘑菇中毒事件进行调查分析,明确中毒原因,总结调查处置经验。方法 通过流行病学调查,毒蘑菇样品的形态学鉴定、分子生物学鉴定和毒素检测,综合判断本起食物中毒的原因。结果 本起毒蘑菇中毒事件暴露人数3人,发病3人,死亡1人,早期临床表现为腹痛、呕吐、腹泻等,后逐渐出现肝功能损害。毒蘑菇样品经形态学和分子生物学鉴定为条盖盔孢伞。样品中检出α-鹅膏毒肽、β-鹅膏毒肽和γ-鹅膏毒肽。结论 本起食物中毒是由误食毒蘑菇条盖盔孢伞引起。为防范类似事件再次发生,应做好大众健康教育,加强食品安全监管及食源性疾病监测力度,并提高医疗机构的诊疗能力。
Objective To investigate a food poisoning caused by wild mushrooms and to identify the risk factors.MethodsEpidemiological investigation,morphological and phylogenetic identification, and laboratory testing were taken to analyze the poisoning event. Results All the three cases complained of abdominal pain, vomiting and diarrhea after ingesting the poisonous mushrooms, and liver function impairment was found later. One case died after 5 days. The mushroom was identified as Galerina sulciceps by morphological and phylogenetic identification. Three kinds of toxins, include α-amanitin,β-amanitin and γ-amanitin were detected in laboratory. Conclusion The incident was caused by ingesting the poisonous mushroom, Galerina sulciceps. Public education,market supervision, foodborne disease surveillance should be enhanced, and the ability of medical institutions to diagnose and treat poisonous mushrooms should be improved.
何志凡,马海英,张强,骆春迎,冯敏,王希希,王瑶,李晓辉.一起条盖盔孢伞中毒事件调查[J].中国食品卫生杂志,2020,32(4):460-464.
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